title: [Severe mitral insufficiency with ejection fraction below 40%: cardiac surgery is still indicated].
abstract: Mitral insufficiency with an ejection fraction < 40% derives varying benefit from surgery according to its etiology: ischemic, degenerative or post-endocarditis. The impairment of the ejection fraction is also a determining factor. Analysis of a series of 26 cases confirms these findings.
authors.affiliation: Chirurgie cardio-vasculaire, HCUG, Genève.
authors.forename: B
authors.initials: B
authors.lastname: Faidutti
authors.forename: A
authors.initials: A
authors.lastname: Kalangos
authors.forename: A
authors.initials: A
authors.lastname: Baldovinos
mesh_terms: D009202:Cardiomyopathies / Q000150:complications; D004697:Endocarditis, Bacterial / Q000150:complications; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery*; D017202:Myocardial Ischemia / Q000150:complications; D012214:Rheumatic Heart Disease / Q000150:complications; D012720:Severity of Illness Index; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000503:physiopathology*
vernacular_title: L'insuffisance mitrale sévère avec fraction d'éjection inférieure à 40%: la chirurgie cardiaque est encore indiquée.